CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Oakdale Community Hospital

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $28
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Oakdale Community Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.01x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Cash / Self-Pay: $25 (90%)
Insurance Median: $28 (101%)
Cash: $25 (90% of Medicare)
Ins. Median: $28 (101% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aarp $17 - $21 61%
All Savers Insurance $17 - $21 61%
Geha $17 - $21 61%
United Hc Shared Services $17 - $21 61%
UnitedHealthcare $17 - $28 61%
Amfirst $25 90%
Self Pay $25 90%
Aetna $26 - $70 94%
Allegiance Hospice $26 94%
Allen Oaks Hospice $26 94%
Ambetter / Centene $26 94%
Blue Cross Blue Shield $26 - $45 94%
Champva $26 94%
Compassionate Care Hospic $26 94%
Correct Care $26 - $124 94%
Golden Rule $26 94%
Harbor Hospice $26 94%
Healthy Blue Dual Adv $26 94%
Heart Of Hospice $26 94%
Hos Misc Hospice $26 94%
Humana $26 - $78 94%
Ice Health Service Corp $26 94%
Mcr American Hlth Adv $26 94%
Mcr Lagniappe $26 94%
Medicare (plans) $26 94%
Mutual Of Omaha $26 94%
Snf Nursing Home $26 94%
St Francis Nursing Home $26 94%
Triwest $26 - $124 94%
Us Family Health Plan $26 - $124 94%
Wellcare $26 94%
Wellcare Of Louisiana $26 94%
Medicaid / KanCare $28 101%
Meritain $30 - $70 108%
Gulf South Risk Svcs Ip $34 123%
Integrated Med Solutions $37 133%
Hawaii Mainland Administr $40 144%
Web-Tpa $62 224%
Cigna $68 - $70 245%
Ima $75 - $124 271%
Ppo Plus $75 271%
Wc Gulf South Risk Srvcs $112 404%
Wc Martco $112 404%
Wc Misc $112 404%
Wc Risk Mgmnt-Baton Rouge $112 404%
Wc Sedwick Workmans Comp $112 404%
Wc Us Department Of Labor $112 404%
American Public Life $124 447%
American Retirement Life $124 447%
Apwu $124 447%
Auto Liability $124 447%
Bankers Life $124 447%
Fox Everitt $124 447%
Mailhandlers Benefit Plan $124 447%
Medishare $124 447%
Medplus $124 447%
Misc Commerical $124 447%
Phcs $124 447%
Physicians Mutual $124 447%
State Farm-La $124 447%
Usaa $124 447%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 N Hospital Dr, Oakdale, LA 71463
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals